CAJ | 학술논문

目的观察右侧星状神经节阻滞(RSGB)对冠心病患者心血管反应的影响,探讨RSGB在冠心病患者中应用的可行性.方法 40例ASAⅡ～Ⅲ级择期行"冠状动脉搭桥术"患者,随机均分为右侧星状神经节阻滞组(A组)和对照组(B组).A组以1%利多卡因10 ml行右侧星状神经节阻滞,B组以10 ml生理盐水行右侧星状神经节注射,记录并分析阻滞前与阻滞后5 min、10 min、15 min各时点患者的CI、MAP、HR、SvO2、RPP.结果 A组阻滞后各时点RPP、HR明显低于B组(P<0.01),MAP高于B组(P<0.05),SvO2、CI明显高于B组(P<0.01).结论右侧早状神经节阻滞在冠心病患者中安全可行,能有效改善患者心肌氧供需关系,维持血流动力学稳定.
목적 관찰우측성상신경절조체(RSGB)대관심병환자심혈관반응적영향,탐토RSGB재관심병환자중응용적가행성.방법 40례ASAⅡ～Ⅲ급택기행"관상동맥탑교술"환자,수궤균분위우측성상신경절조체조(A조)화대조조(B조).A조이1%리다잡인10 ml행우측성상신경절조체,B조이10 ml생리염수행우측성상신경절주사,기록병분석조체전여조체후5 min、10 min、15 min각시점환자적CI、MAP、HR、SvO2、RPP.결과 A조조체후각시점RPP、HR명현저우B조(P<0.01),MAP고우B조(P<0.05),SvO2、CI명현고우B조(P<0.01).결론 우측조상신경절조체재관심병환자중안전가행,능유효개선환자심기양공수관계,유지혈류동역학은정.
Objective To observe the effects of right-sided stellate ganglion block (RSGB)on cardiovascular response in patients with coronary artery disease. Methods Forty ASA Ⅱ or Ⅲ patients undergoing elective coronary artery bypass surgery were. randomly assigned to study group (group A)or control group(group B). The patients in group A received RSGB with 1% lidocaine and group B with 10ml normal sodium. ECG, MAP, SvO2, cardiac output (CO) and rate-pressure product (RPP) were monitored interaoperatively and recorded before block and 5, 10, and 15min after block. Results As compared with group B, HR and SvO2 were significantly decreased, MAP was increased, RPP and CI were obviously increased (P< 0.01). Conclusions Right-sided stellate ganglion block is safe and feasible in the treatment of coronary artery disease and is effective in improving oxygen supply to the myocardium and in maintaining the stability of hemodynamics.